AN ANALYSIS OF AUTOGRAFT FIXATION AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN A RABBIT MODEL

被引：250

作者：

GRANA, WA ^{[1
]}

EGLE, DM ^{[1
]}

MAHNKEN, R ^{[1
]}

GOODHART, CW ^{[1
]}

机构：

[1] UNIV OKLAHOMA,DEPT ORTHOPAED SURG & REHABIL,OKLAHOMA CITY,OK

来源：

AMERICAN JOURNAL OF SPORTS MEDICINE | 1994年 / 22卷 / 03期

关键词：

D O I：

10.1177/036354659402200309

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Fixation and incorporation of a tendon implanted within the bone pose theoretical as well as practical concerns for the surgeon who treats instability problems of the knee. Understanding the physiology involved in graft-bone incorporation is necessary for the appropriate rehabilitation of patients who undergo anterior cruciate ligament surgery. The purpose of the study was to examine the histologic and biomechanical changes of a semitendinosus autograft reconstruction of the anterior cruciate ligament in a rabbit model at the graft-bone tunnel interface in the femur. The results indicate that by 3 weeks, failure of the bone-graft-bone or construction is through the intraarticular portion of the graft, not as a result of pullout from the bone tunnel. Graft fixation of the bone tunnel occurs by an intertwining of graft and connective tissue and anchoring of connective tissue to bone by collagenous fibers and bone formation in the tunnels. The collagenous fibers have the appearance of the Sharpey's fibers seen in an indirect tendon insertion.

引用

页码：344 / 351

页数：8

共 28 条

[1]

Amiel D., Frank C., Harwood F., Et al., Tendons and ligaments: A morphological and biochemical comparison, J Orthop Res, 1, pp. 257-265, (1984)

[2]

Amiel D., Kleiner J.B., Roux R.D., Et al., The phenomenon of “ligamentization”: Anterior cruciate ligament reconstruction with autogenous patellar tendon, J Orthop Res, 4, pp. 162-172, (1986)

[3]

Arnoczky S.P., Tarvin G.B., J Bone Joint Surg, 64A, pp. 217-224, (1982)

[4]

Arnoczky S.P., Torzilli P.A., Warren R.F., Et al., Biologic fixation of ligament prosthesis and augmentations, Am J Sports Med, 16, pp. 106-112, (1988)

[5]

Arnoczky S.P., Warren R.F., Am J Sports Med, 14, pp. 1-6, (1986)

[6]

Benjamin M., Evans E.J., J Anat, 149, pp. 89-100, (1986)

[7]

Burks R., Daniel D., Am J Sports Med, 12, pp. 323-327, (1984)

[8]

Cooper R.R., JBone JointSurg, 52A, pp. 1-20, (1970)

[9]

Eriksson E., Sports injuries of the knee ligaments, their diagnosis, treatment, rehabilitation and prevention, Med Sci Sports, 8, pp. 133-144, (1976)

[10]

Gomes J.L., Am J Sports Med, 12, pp. 199-203, (1984)

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